Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00002 | Date 01/08/2018 |
| Token No | SM/21-22/2662 29/06/2021 | Serial | 003 Last Visit: 02/11/2024 |
| Patient Name | Mrs. BARNALI LAHA | Contact No | 8013582270 |
| Address | 29A, BARUI PARA LANE , CHATRA SEARMPORE | Age | 47 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||